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Integrated clinical pathway management for medical quality improvement – based on a semiotically inspired systems architecture

Weizi Li, Kecheng Liu, Hongqiao Yang, Changrui Yu
2014 European Journal of Information Systems  
This paper first presents a theoretical underpinning and a co-design research methodology for integrated pathway management by drawing input from organisational semiotics.  ...  It provides detailed guidance for each stage in the management of a patient with the aim of improving the continuity and coordination of care across different disciplines and sectors.  ...  Initially, the clinical pathway knowledge is paper-based, serving a reference purpose without integration with the current information systems.  ... 
doi:10.1057/ejis.2013.9 fatcat:rkbfgck33reyfmekga6ee3llzu

Arriclides: An Architecture Integrating Clinical Decision Support Models

Kris Verlaene, Wouter Joosen, Pierre Verbaeten
2007 2007 40th Annual Hawaii International Conference on System Sciences (HICSS'07)  
Our architecture, Arriclides, enables the integration of a set of representative and quite different models.  ...  Clinical decision support can be (and has been) built starting from complementary knowledge representation models, for instance rule-based representations or workflow models to mention just a few.  ...  Acknowledgment This paper is based on research performed in the context of the "Healthcare networks of the 21st century: a Clinical Pathway based approach" project from the Institute for the Promotion  ... 
doi:10.1109/hicss.2007.87 dblp:conf/hicss/VerlaenenJV07 fatcat:nwamcq6srvc37nchriv4adbna4

A Holistic Environment for the Design and Execution of Self-Adaptive Clinical Pathways

Dimitrios Al Alexandrou, I E Skitsas, G N Mentzas
2011 IEEE Transactions on Information Technology in Biomedicine  
A graphical designer interface is implemented for the definition of the rule-set for the clinical pathways adaptation in a user-friendly way.  ...  The software comprises a health care process execution engine assisted by a semantic infrastructure for reconfiguring the clinical pathways.  ...  in our approach, we define a metamodel for each clinical pathway to be executed.  ... 
doi:10.1109/titb.2010.2074205 pmid:20876028 fatcat:f2uilz22ebauzmg2j6mogxk5ui

A holistic environment for the design and execution of self-adaptive clinical pathways

Dimitrios A. Alexandrou, Ioannis E. Skitsas, Gregoris N. Mentzas
2009 2009 9th International Conference on Information Technology and Applications in Biomedicine  
A graphical designer interface is implemented for the definition of the rule-set for the clinical pathways adaptation in a user-friendly way.  ...  The software comprises a health care process execution engine assisted by a semantic infrastructure for reconfiguring the clinical pathways.  ...  in our approach, we define a metamodel for each clinical pathway to be executed.  ... 
doi:10.1109/itab.2009.5394358 fatcat:rlo24hfrnrblln6274srjncohu

Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems

Phil Gooch, Abdul Roudsari
2011 JAMIA Journal of the American Medical Informatics Association  
Acknowledgments We thank the two anonymous reviewers and Professor Francis Lau for their valuable comments on an earlier version of the manuscript.  ...  RefViz 31 is a tool for clustering bibliographic references for visualization and analysis.  ...  Quaglini et al 4 defined a methodology and architecture for integrating computer-interpretable clinical guidelines (CIGs) i with a commercial workflow engine for the management of acute stroke.  ... 
doi:10.1136/amiajnl-2010-000033 pmid:21724740 pmcid:PMC3197986 fatcat:rzcxucrsfjberoyobwghi7gseq

Concept of knowledge-based self-management pathways for the empowerment of diabetes patients

Holger Schmuhl, Hans Demski, Ilias Lamprinos, Asuman Dogac, Manuela Ploessnig, Claudia Hildebrand
2014 European Journal for Biomedical Informatics  
Pilot specic requirements can be address as well due to its modular architecture. Conclusion: The given concept gives a high level description of the envisaged approach.  ...  Diabetes requires a high level of disease management to be executed by the patient himself in order to succeed in treatment and for improving or at least preserving his health status.  ...  Research and development eorts focus on knowledge-based self-management pathways for diabetes patients.  ... 
doi:10.24105/ejbi.2014.10.2.4 fatcat:2og7562o4rf7niwwhmcknfo3ry

Localisation, Personalisation and Delivery of Best Practice Guidelines on an Integrated Care and Cure Cloud Architecture: The C3-Cloud Approach to Managing Multimorbidity

George Despotou, Gokce B Laleci Erturkmen, Mustafa Yuksel, Bunyamin Sarigul, Pontus Lindman, Marie-Christine Jaulent, Jacques Bouaud, Lamine Traore, Sarah N Lim Choi Keung, Esteban De Manuel, Dolores Verdoy, Antonio De Blas (+11 others)
2020 Studies in Health Technology and Informatics  
C3-Cloud is an integrated care ICT infrastructure offering seamless patient-centered approach to managing multimorbidity, deployed in three European pilot sites.  ...  C3-Cloud has adopted a co-production approach to developing unified multimorbidity guidelines, by collating and reconciling best practice guidelines for each condition.  ...  It implements integrated care pathways for chronic heart failure, renal failure, depression and diabetes, based on best practice guidelines [4] .  ... 
doi:10.3233/shti200235 pmid:32570458 fatcat:vmwnowskpzcjtn2tsmrsrnavbi

IT Support for Healthcare Processes [chapter]

Richard Lenz, Manfred Reichert
2005 Lecture Notes in Computer Science  
., the handling of a medical order), the latter are linked to medical treatment processes. Altogether there is a huge potential regarding the IT support of healthcare processes.  ...  We identify different levels of process support and distinguish between generic process patterns and medical guidelines / pathways.  ...  Implications for Process-Oriented IT Architectures The adequate support of HC processes raises a number of requirements for process-oriented IT architectures.  ... 
doi:10.1007/11538394_24 fatcat:zear5vqmdrfffg6x763eb6akja

Web-Based Telemonitoring and Delivery of Caregiver Support for Patients With Parkinson Disease After Deep Brain Stimulation: Protocol

Sara Marceglia, Elena Rossi, Manuela Rosa, Filippo Cogiamanian, Lorenzo Rossi, Laura Bertolasi, Alberto Vogrig, Francesco Pinciroli, Sergio Barbieri, Alberto Priori
2015 JMIR Research Protocols  
Objective: This projects aims to (1) create a reference consensus guideline and a shared requirements set for the homecare and monitoring of DBS patients, (2) define a set of biomarkers that provides alarms  ...  Results: The results of this project will provide a novel approach to long-term evaluation of patients with chronic, severe conditions in the homecare environment, based on caregiver empowerment and tailored  ...  Information System Architecture The architecture of the information system will be created to meet the specific needs of caregivers at home by integrating the clinical care pathway of the patient in order  ... 
doi:10.2196/resprot.4044 pmid:25803512 pmcid:PMC4376163 fatcat:dv6kafkuwfcm5hjd5nqr6qalba

IT support for healthcare processes – premises, challenges, perspectives

Richard Lenz, Manfred Reichert
2007 Data & Knowledge Engineering  
To recognize the limitations of IT support we adopt a broad socio-technical perspective based on scientific literature and personal experience.  ...  In this paper we elaborate both the potential and the essential limitations of IT support for healthcare processes.  ...  A practical example is given in Section 4. Section 5 takes a more visionary approach. It discusses implications for future process-oriented IT architectures in healthcare.  ... 
doi:10.1016/j.datak.2006.04.007 fatcat:fzypitwnvvfb3jrwbbqqqzx2ei

Clinical Decision Support Systems (CDSS) for preventive management of COPD patients

Filip Velickovski, Luigi Ceccaroni, Josep Roca, Felip Burgos, Juan B Galdiz, Nuria Marina, Magí Lluch-Ariet
2014 Journal of Translational Medicine  
Methods: The software architecture model for the CDSS, interoperable clinical-knowledge representation, and inference engine were designed and implemented to form a base CDSS framework.  ...  Results: A suite of decision-support web services for (i) COPD early detection and diagnosis, (ii) spirometry qualitycontrol support, (iii) patient stratification, was deployed in a secured environment  ...  Acknowledgements We would like to thank all the members of the Synergy-COPD consortium for their support in the research described.  ... 
doi:10.1186/1479-5876-12-s2-s9 pmid:25471545 pmcid:PMC4255917 fatcat:u3m3gmnbpnewhelwuj2amun6im

Guiding Principles for Data Architecture to Support the Pathways Community HUB Model

Bernard P. Zeigler, Sarah Redding, Brenda A. Leath, Ernest L. Carter, Cynthia Russell
2016 eGEMs  
Requirements for Data Architecture to Support the Pathways Community HUB Model: The main contribution is a set of core recommendations as a framework for developing and implementing a data architecture  ...  Based on analysis of issues and remedies, we present several key features for a data architecture meeting the just mentioned recommendations.  ...  Requirements for Data Architecture to Support the Pathways Community HUB Model: The main contribution is a set of core recommendations as a framework for developing and implementing a data architecture  ... 
doi:10.13063/2327-9214.1182 pmid:26870743 pmcid:PMC4747120 fatcat:ruyeupk6jvf2foepdz7yjwzlxu

Modelling approaches in tumor microenvironment

Isaac Crespo, George Coukos, Marie-Agnes Doucey, Ioannis Xenarios
2018 Journal of Cancer Immunology & Therapy  
vertical and horizontal integration of multiple-omics data and dealing with heterogeneity at both intratumor and patient population level.  ...  Ultimately, that slows down the development of novel cancer therapies and makes difficult the choice of suitable treatments for specific patients.  ...  The mechanistic description of such integrative model, together with patient profiling based on these mechanisms would allow customizing or fine-tuning a general model to specific patients or groups of  ... 
doi:10.35841/cancer-immunology.1.1.26-40 fatcat:zfg6wvz5fjgsno4fcn7wgzlbke

SEMPATH: Semantic Adaptive and Personalized Clinical Pathways

Dimitrios Alexandrou, Fotis Xenikoudakis, Gregoris Mentzas
2009 2009 International Conference on eHealth, Telemedicine, and Social Medicine  
The software comprises a healthcare process execution engine assisted by a semantic info-structure for reconfiguring the pathways.  ...  The personalization requires the continuous reconfiguration of the treatment schemes since the clinical status of each patient and circumstances inside a healthcare organization constantly change.  ...  In this paper we propose an approach that includes a workflow management engine combined with a rule base in order to handle the abovementioned requirements.  ... 
doi:10.1109/etelemed.2009.28 dblp:conf/etelemed/AlexandrouXM09 fatcat:6v64f4jb4zhija3gemvawdqgqu

Electronic Risk Assessment System as an Appropriate Tool for the Prevention of Cancer: a Qualitative Study

Amir hossein Javan Amoli, Elham Maserat, Reza Safdari, Mohammad Reza Zali
2016 Asian Pacific Journal of Cancer Prevention  
The study was based on a grounded theory approach and the tool was a semistructured interview.  ...  As a conclusion, it is recommended to consider the necessity of architecture assessment and also integration standards.  ...  We thank Fatemeh Ghafarnejad, Mohammad Amin Pourhosseingholi for providing counseling.  ... 
doi:10.7314/apjcp.2015.16.18.8595 fatcat:trrve27gpneatpcl7mh5omp3cy
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